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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 42 03 04 <br />(Ed. 10 -84) <br />TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br />This endorsement applies only to the insurance provided by the poilcy because Texas is shown in Item 3.A, of the <br />Information Page. <br />We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce <br />our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily <br />injury arising out of the operations described in the Schedule where you are required by a written contract to obtain <br />this waiver from us. <br />This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br />The premium for this endorsement is shown in the Schedule, <br />Schedule <br />1. ( Specific Waiver <br />Name of person or organization <br />(X) Blanket Waiver <br />Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. <br />2. Operations: <br />3. Premium: <br />The premium charge for this endorsement shall be percent of the premium developed on payroll in <br />connection with work performed for the above person(s) or organization(s) arising out of the operations described. <br />4. Minimum Premium: <br />5- Advance Premium: <br />This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. <br />(The information below is required only when this endorsement is issued subsequent to preparation of the policy.) <br />Endorsement <br />Insured Redflex Traffic Systems, Inc. <br />Effective Policy No. wce- zei- 4s3eao -o7s Endorsement No. <br />Premium <br />Insurance Company The First Liberty Insurance Corporation Countersigned by <br />WC 42 03 04 <br />(Ed. 10 -64) <br />